| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
288 |
278 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
418 |
410 |
$12K |
| 92015 |
Determination of refractive state |
410 |
402 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
105 |
104 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
410 |
401 |
$8K |
| V2020 |
Frames, purchases |
482 |
469 |
$7K |